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General NPI Number Information
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NPI Number | 1487547386
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Entity Type | Individual
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Provider Name | REBECCA RICKENBERG
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 4183 STATE ROUTE 56 SE
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City | LONDON
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State | OH
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Zip | 43140-9770
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Country | US
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Telephone | 513-509-1892
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Fax |
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Provider Business Mailing Address
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Address Line | 4183 STATE ROUTE 56 SE
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City | LONDON
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State | OH
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Zip | 43140-9770
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Country | US
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Telephone | 513-509-1892
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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